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The Basics - Blepharitis - mEYEspa Featured

Blepharitis is an inflammatory condition of the eyelids.  There are different causes/types of the inflammation detailed below but all generally create symptoms like excessive tearing, eyelid flaking, lash crusting and eye irritation. 

Blepharitis is usually bilateral (both eyes lids) and it is common to have multiple concurrent causes.  

Conditions like dry-eye, styes, acne rosacea and lash problems often occur along with blepharitis so treatments can be multifaceted.  Blepharitis is not precisely an infection of the lids but rather the lid response (that could be to an infection).  It is often chronic and requires ongoing maintenance level treatment once under control.  Even if under control, several flare-ups (requiring more aggressive intervention) throughout a year are common.

Simplified Guide to the types of blepharitis.   See your eye care professional to help diagnose your situation.   The following is not medical advice but general information how our clinic categories and treats blepharitis.

  Seborrheic Blepharitis: Lids flake causing itchiness and eye irritation/tearing as material gets into eyes

Typical Treatment:

EARLY: Increased diligence of lid care.  Use baby shampoo on lids and lashes daily.  Use eye drops such as I-Drop MGD at least twice per day.
ADVANCED: Apply Blephagel cleaner/skin conditioner to lids and lashes nightly.  Leave on overnight and wash off in AM.  Blephagel is effective and is not a steroid.
MAINTENANCE: Use Blephagel 2-3 times per week.


  Bacterial Blepharitis: Infection causing inflammation – usually responds to standard treatment and/or antibiotics

EARLY: Increased diligence of lid care.  Use baby shampoo on lids and lashes twice daily.  Use eye drops such as I-Drop MGD at least twice per day.
ADVANCED: Clean lids and lashes with Blephaclean medicated pads.  Use once or twice daily depending on severity/need.
ADVANCED+:    Topical and/or oral antibiotics are required to clear the bacterial infection (prescription required).  The decision to prescribe these medications is considered only after other forms of treatment are tried.
MAINTENANCE:  Use Blephagel 2-3 times per week.


  Demodex Blepharitis: Infection of lash roots causing lid margin irritation – does not respond to antibiotics

(No early stage)
ADVANCED:    Recommended treatment is daily Tea tree oil lid care pads or foam.  I recommend We Love Eyes, Blephadex or Cliradex.  Warning – tea tree treatment oil is very intense.  Follow treatment instructions exactly and completely to avoid discomfort.
MAINTENANCE  Use Cliradex.Blephadex 2-3 times per week.

Note - we do not sell Blephadex or Cliradex online as it is important to have a discussion regarding proper use/application of these potent medications.


  Meibomian Blepharitis (MGD – Meibomian Gland Dysfunction): Clogged oil glands along lid margins causing irritation and dry-eye

Treatment of meibomian blepharitis is the same as “Lipid Deficiency” dry eye.  Please refer to dry eye information for our treatment protocol.


  Rosacea Blepharitis:  Associated with Acne Rosacea skin condition.  Causes dry eye and ocular irritation.

Rosacea Blepharitis treatment can be complex.  Typically, a combination of Meibomian and Demodex Blepharitis treatments are used.  Rosacea is also often currently treated with oral tetracycline-type oral medications.  Options should be discussed with you eye care professional. 

All forms of Blepharitis respond to the positive antimicrobial, cleaning and refreshing benefits of Hypochlorous Spray.  Use regularly throughout the day for fast relief and positive therapeutic benefit.

Consider our Blepharitis Clinic Kit for SAVINGS!

Last modified onSunday, 24 January 2021 12:30
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